Johnson J A, Nowatzki T E, Coons S J
Center for Pharmaceutical Economics, College of Pharmacy, University of Arizona, Tucson 85721, USA.
Med Care. 1996 Feb;34(2):97-102. doi: 10.1097/00005650-199602000-00001.
This study was designed to measure the health-related quality of life of a sample of diabetic Pima Indians. Health status questionnaires were administered to 54 diabetic Pima Indians attending an outpatient pharmacy in southern Arizona. Health-related quality of life was assessed using the SF-36 Health Survey. Internal consistencies of the eight multi-item scales of the SF-36 were estimated. Nonparametric analyses were performed to determine relationships between mean SF-36 scale scores and various clinical and demographic variables. Favorable internal consistencies for the multi-item scales were observed, with alpha coefficients ranging from 0.63 to 0.91. SF-36 scale scores were not influenced by sex or education level. Age was significantly associated with four of the eight dimensions. Indicators of glycemic control were not significantly associated with any SF-36 multi-item scale scores. Subjects with more comorbid chronic conditions had significantly lower SF-36 scores. If the goal of maximizing health status of American Indians is to be reached, health-related quality-of-life assessment should be used as a means to monitor progress toward that goal. Further evaluation of the SF-36 or other health status/quality-of-life instruments in this population should be undertaken.
本研究旨在测量皮马族糖尿病印第安人的健康相关生活质量。对在亚利桑那州南部一家门诊药房就诊的54名皮马族糖尿病印第安人进行了健康状况问卷调查。使用SF-36健康调查评估健康相关生活质量。估计了SF-36八个多项目量表的内部一致性。进行非参数分析以确定SF-36量表平均得分与各种临床和人口统计学变量之间的关系。观察到多项目量表具有良好的内部一致性，α系数范围为0.63至0.91。SF-36量表得分不受性别或教育水平的影响。年龄与八个维度中的四个维度显著相关。血糖控制指标与任何SF-36多项目量表得分均无显著关联。患有更多合并慢性病的受试者SF-36得分显著更低。如果要实现使美国印第安人健康状况最大化的目标，应将健康相关生活质量评估用作监测朝着该目标进展的一种手段。应进一步评估该人群中的SF-36或其他健康状况/生活质量工具。
